Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,232.93 / $22,908.68	Facility		$4,466.84	$10,232.93	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $22,387.21	Facility		$6,918.31	$11,748.98	$22,387.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $1,819.70	Professional		$1,288.25	$1,412.54	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $3,019.95	Professional		$1,202.26	$1,548.82	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $18,197.01	Facility		$54.95	$56.23	$18,197.01
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility	62	$11,481.54	$11,481.54	$11,481.54
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	AS	$1,819.70	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,630.27	Facility		$1,380.38	$1,819.70	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87